Historical Reflections on the Post-Soviet Cuban Health-Care System, 1992–2009
| Autor: | Joel G. Thomas |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Special Period
medicine.medical_specialty 030505 public health Health improvement business.industry 050204 development studies Public health 05 social sciences Context (language use) General Medicine Health outcomes 03 medical and health sciences Political science 0502 economics and business Health care medicine Mass vaccination 0305 other medical science business Humanities |
| Zdroj: | Cuban Studies. 44:189-213 |
| ISSN: | 1548-2464 |
| DOI: | 10.1353/cub.2016.0023 |
| Popis: | An extensive literature on the Cuban health-care system has traditionally emphasized the link between health outcomes in Cuba and select health strategies, including the Area Polyclinic, the Family Doctor Program, and mass vaccination campaigns. While these strategies represent only a portion of general Cuban health initiatives, they are critical public health strategies arguably linked to a range of important health indices. This article begins by documenting the degree to which these health strategies were institutionalized in the post-Soviet era and the extent to which they corresponded to positive trends in health improvement. Focusing on the Cuban health system from the severe economic depression of the Special Period until the beginning of the Cuban domestic crisis, the article provides both a historical review of the efficacy of Cuban health strategies and suggests that a broader account of the success of the system in this period can be explicated by six key idea-based and agenda-based guiding principles. It asserts that beyond the pursuit of a collection of sound public health strategies; the survival, adaptability, and resilience of the Cuban health-care system during the post-Soviet era is better understood within the context of these foundational political features. RESUMEN: La extensa literatura sobre el sistema de salud cubano ha enfatizado tradicionalmente el vinculo entre los resultados obtenidos por el sistema y la implementacion de ciertas estrategias de salud como los policlinicos, el Programa de Medico de la Familia y las campanas de vacunacion masiva. Si bien estas estrategias solo representan una parte de las iniciativas generales implementadas en el pais, podria decirse que ellas son un aspecto critico vinculado a una gama de importantes indices de salud. Este articulo propone analizar el grado en que estas estrategias de salud fueron institucionalizadas en la era pos-sovietica y en que medida estas correspondian a tendencias positivas en la mejora de la salud. Centrandose en el periodo comprendido entre la depresion economica del Periodo Especial y la crisis domestica de Cuba, este articulo proporciona una revision historica de la eficacia de las estrategias de salud implementadas y sugiere que su exito se explica por seis principios claves fundamentados en la ideologia y la agenda politica de la epoca. Se afirma que mas alla del diseno e implementacion de un conjunto de estrategias bien pensadas de salud publica; la supervivencia, la adaptabilidad y la resiliencia del sistema de salud cubano durante la era pos-sovietica se entienden mejor en el contexto de estas caracteristicas politicas fundamentales. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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